Organization Active NPI

Lee Gardner M D L L C

  • Family Medicine Physician
  • North Plains, OR
National Provider Identifier
1982880761
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LEE GARDNER M D L L C
Doing business as
M. Lee Gardner MD, LLC
Practice address
10245 NW Glencoe Rd
North Plains, OR 97133-8233
Phone
(503) 647-9261
Fax
(503) 647-1230
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marion Lee Gardner Jr., MD
Title
Owner
Phone
(503) 647-9261

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10245 NW Glencoe Rd
North Plains, OR 97133-8233

Mailing address

10245 NW Glencoe Rd
North Plains, OR 97133-8233
Phone (503) 647-9261

Other identifiers 1

IdentifierTypeStateIssuer
044292MedicaidOR

Other names 1

  • M. Lee Gardner MD, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1982880761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10245 NW GLENCOE RD",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338233",
            "telephone_number": "503-647-9261",
            "fax_number": "503-647-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 NW GLENCOE RD",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338233",
            "telephone_number": "503-647-9261",
            "fax_number": "503-647-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE GARDNER M D L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-647-9261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044292",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. Lee Gardner MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.